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. � <br /> CITY OF ORONO * Z 0 1 3 - 0 0 5 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1579 MAPLE PL <br /> PIN : 08-117-23-33-0033 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT O11 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 8,370.00 <br /> NOTE: (1)BRYANT FURNACE-NATURAL GAS-3"FLUE-80,000 INPUT BTU'S-73,600 OUTPUT BTU'S- 1600 CFMS <br /> (1)BRYATN A/C iJNIT-3 TONS <br /> (4)BATH EXHAUST-(2)50-CFM,(1)80-CFM,(1) 110-CFM <br /> APPLICANT MECHANICAL 104.63 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 4.18 <br /> 15535 MEDINA ROAD <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 TOTAL 110.81 <br /> PAID WITH CC# 1207 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD,MN 56303- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C� ^ (f/� a'�' ,� � / pl(p/ <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />